Paige Nelleen Sullivan

NPI #1699977900 in Cando, North Dakota

Provider Information

NPI Number: 1699977900
Entity Type: Individual
Name: Paige Nelleen Sullivan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: May 31, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 933 5TH AVE
City: Cando
State: North Dakota
ZIP Code: 58324-6116
Phone: (701) 968-3573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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